Characteristics of Children and Adolescents in the Weight Reduction Clinic of a Community Hospital

社區醫院減肥門診中的兒童及青少年特色

洪建德(Chien-Te Hung)

《北市醫學雜誌》 3卷12期 (2006/12) Pp. 59-68

https://doi.org/10.6200/TCMJ.2006.3.12.07

摘要

目的：臺灣的生活型態改變，使得成人與兒童都肥胖起來。本研究目的要分析本院成立減肥門診2年內兒童、青少年就診的情形。方法：共有103個案完成了流程，理想體重百分比定義為分子：測量的體重分母理想體重的百分比，理想體重為其身高相對應的同年齡層百分位的體重。所有病人都在父/母陪同下抽血測量生化值，如有105 mg/dl以上就要安排做葡萄糖耐量試驗。結果：並非所有個案皆肥胖，有些人可能有飲食症候群，高尿酸血症的罹患率為55%，高三酸甘油脂血症為47%，高膽固醇血症為45%，葡萄糖失耐18%。結論：這個結果漸漸會對社區中的學校，最後政府的注意，形成了一個非傳染病防治模式的過程。

關鍵字

兒童青少年肥胖 ； 高尿酸血症 ； 高三酸甘油酯血症 ； 高膽固醇血症 ； 葡萄糖失耐

並列摘要

Background and Purpose: The affluent life style of the Taiwanese people has leaded the prevalence of obesity increasing not only in adults but also in children. The aim of the study was to analyze the data of the children and adolescents of the weight reduction clinic in the first two years of our clinical service. Methods: There were 103 patients under the age of 18 who visited our clinic and completed the whole process of biochemical/anthropometric examinations, questionnaire and interview. The percent of ideal body weight was defined as percentage of measured body weight divided by calculated body weight under same percentile of measured body height. The patients were all to be blood checked for biochemistry by an autoanalyzer from Hitachi. Those who had a fasting plasma glucose over105mg/dl were asked to perform the glucose tolerance test. Results: The anthropometric measures revealed that not every young persons who seek medical aid for weight reduction was obese, some of them might suffer from eating disorder. The hyperuricemia prevalence was 55%, hypertriglyceridemia prevalence was 47%, and hypercholesterolemia was 45%, abnormal glucose tolerance was 18%. Conclusion: The high prevalence rate of abnormalities of the children and adolescents in a weight reduction clinic of a community hospital disclosed that effect on the community and school and finally to government. It did show a good model of noncommunicable diseases prevention.

並列關鍵字

obesity ； children and adolescents ； hyperuricemia ； hypertriglyceridemia ； hypercholesterolemia ； impaired glucose tolerance